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Home My WebLink AboutPermit Building 1993-5-21 I "I' ,. . RESIDENTIAL PERMIT APPLICATION :;'j ..' ;.\ "I ! .':'"! Inspections: 726.3769 Office: 726.3759 ;',1 LOCATION OF PROPOSED WORK' 18 02 05 1 2 ASSESSORS MAP: 121 A LOT: SPRINGFIELD 4493 Glacier street JOB N~MBER, 'C~t3ctn3_ , . 225 Fifth Streot Spl'ingfield,OrcgOlL97.177 # SP 66 Springfield, OR 97478 TAX LOT: Of=)9~ BLOCK' OWNER: ADDRESS: P.O. Box 22636 Capstone Homes, Inc. of Oregon CITY: Euqene STATE: _OR DESCRIBE WORK' NEW XX Single Family Residence REMODEL ADDITION DEMOLISH ,OTHER SUBDIVISION: Lucerne Meadows " PHONE: 689-5567 ZIP: _97402__._ CONST. CONTRACTOR'S NAME ADDRESS. CONTRACTOR H .:. \ GENERAi,Capstone Homes, Inc.of OR P.O.B. 22636 Eug:,OR 97402 G 'Frid1und Plumbing 85628 Dilley Lane Eug."OR.'97405 PLUMBIN : Garibay Heating 4207 W. 5th Ave. Eug.,OR 97402 MECHANICAl' ELECTRICAl' Rose Corp. 89976 Day Lane Euqene, OR 97402 QUAD AREA: ~~ ___ H OF BLDGS: ~~:';:~,~:.~~~- WArE:R HEATER, _ _____ - OFFICE USE - LAND USE _LLU H OF UNITS: \ f AJ-":' CONSTR. TY!'E:: -~i----"- HE^TSOUflC":.__~9.. u. RANGE: ._" D EXPIRES PHONE 10-18-93 689-5567 12-14-93 746-9433 12-21-93 344-2481 9-30-95 686-0905 62018 51835 70545 54431 FLOOD PLAIN: _______._.__ ZONING CODE: _LDP_J . H OF UUHM',: -.$ltJ....- .-..-- "ECOND^llY III'^': 1=1 SC>U^HE FOO,"^GE: . ._ ~. To request an Inspection, you must call 726.3769. This Is a 24 hour .-acoruing. All inspections IcquC31cd before 7:00 .1.I11. will be made the same workinu day, Inspections requestod aHor 7:00 a.m. will be marle the following worl~ lJay. ,,", %Temporary EleCI.'iC '" .. ._\ -D Site Inspection - To be made after excavation, but prior to setting (arms. o Underslab Plumbing/Eleclrical1 Mechanical - Pdor to cover. ~ Footing - After trenches are ~ excavated. o Masonry - Steel lo~atlon, bond beams, grouting. ","XFoundation - After (orms arc ~ erected but prior to concrete placement. D Underground Plumbing - Prior to f111~ng trench. ~ Underflo~umbi_J~~ochal1ic~ ~ - Prior ~;,;,u,oll,)n'or decking. ~ Post and Beam - Prior to floor ~insulation or decl~ing. "f;:::J1 Floor Insulation - p'rior to ~ecklng. r-:;;z( Sanitary Sewer - Prior to filling ~trcnch. rVl Slorm Sewer - Prior to filling .JL=S- trench. tscr Water Line -=- Prior to filling ~enCh. 'rV1 Rough Plumbing', Prior to ~cover. REQUIRED INSPECTIONS ~ Rough Mechanical - Prior 10 ~uvcr. 1V1" Rou~h Electrical - ~cover. Prior to rc7i Electrical Service - Must be ~approved to obtain pennancnl electrical power. o Fireplace - Prior to fnclng materials and (ramlng Insp. ~ Framing - PlioI' to cov.;r. 1':7f, Wt;lIl/Ceiling Insulation - PriOI to ~covcr. ~DrYWall - Prior tu taping. "C71 Wood Stove - Arter In~;t:lll:lllon. JA..1 ~ d.~ ;-yd, o Insert - After fireplace npplUv\ll and Installalion of unit. 1':?f Curbcut & Approach - After ~ forms are erected b'ut prior to placement of concrele. "f'.:?1' Sidewalk & Driveway - After ~excavation is complete, forms and sub.base malerial in plnce. o Fence - Wilen completed. ~trcct Trees - When all reqltircd trees are planted: '. . . ~ Fin.11 PlurnlJin{l - Wilen :111 ~plllrnbino wurl~ is complete. l'V1 Final Electrical - When all ~lcctrJcnl \Vork Ir; complete. I"Vf Final Mechanical - When all ~ mechanical work is complete. 'tV1' Final Building - When all ~CQuired inspections helve been approved and building is completed. [J Olher -- MOBILE HOME INSPECTIONS l~ Dlocking and Set.Up - When all blocking 15 c(HJlpIQlf~. [~ Plumbing Connections - When tWine Ilas been connected to waler and scw~.r.,. I I Electrical Connection - Wilen blocking, set-up, and plumbing Inspections have been approved and the home is connected 10 lhe service panel. , . [J Final - After all required inspections ;ne npproved and porches, sklrllng, d,=,cl~s, and venting have been ino.tallccl. L.' -\11-'1, Lot sQ. ltg, S'P:O Lot coverage /6-f?() Topography.' ";::2% J)t ~.,/ . Total height ()(.UL Lot 1~lccs BUILDING PERMIT ITEM sa. FT, Main j,p 7t? ~/.3 Garage Carport Total Value Building Parmi I Fcc Stale SurchcH{Je Total Fcc Lot TYfHj _~ Interior Corner PanllarHllc _ Cul-(Ic.sac __ _ Solb,ack~. P.L. HSE GAR ACC J:.J_/11== /-' tP1 ~--,p_-- , . ..,1' , .Y'!.- _..kL_ E , X $/SO. FT. VALUE 5~.~ -9385-1- _~/O_ _513223 (A) -9Q~a-1 _B3,CJO __Z/~Y" 421,~ SYSTEMS DEVELOPMENT CHARGE (SDC) ~JLS.. 7'2- PLUMBING PERMIT ITEM Fixtures Residential Bllth(s) Sanllary Sewet Water 'Storm Sewer Mobile Home Plumbing Permit Stale Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan (B) N' 3 -- -.- FT. FT. FT, (C) N' ."S Wood Stovcllnse(!j'FircPlacc uuU> Dryer Vent ~A5 tltuE MeChanical Permit Issuance Stale Surcharge Total Permli (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk -6~ II Cu,bcut _30- It Demolition State Surcharge -PL!w_tf2?VL&.u__ TOlal Miscellaneous Permits (E) TOTAL AMOUNT DUE (exclucllng elecllical) (A, 0, C, D, ;1/)(1 E Combined) FEE -I8.2..,~O __963 .2.02/3 _&zI!O 4,~o _9'- M) _152,0 D <,~ _z.~ -5:7 5"0 _/.<2 DO J."J~ _;=:; J:le _'Z3.'ZO -Ld $'0 l IS .,.tPIiOPOSED WORK IN THE '.HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: - BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, conform to the OrdInance adopted by the City 01 Sp,lnglleld, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. ~ Plan 'Check Fee: Date Paid: Receipt Number. . ._~1/9-1 7-;'aI0 Systems Development Charge is due on all undeveloped properties within the City limits ~hich a~e being Improved. ADDITIONAL COMMENTS ( . \.) ~~ljLif- ~ . ~~5ri5 \cl-~ \: \ \ \nOC) - d{\f\O){lmo ., \G\I~ Cui.J)SJrie.- ~('rJ fJ11 ~ I I I ~ -, . .EN fi(t:::;v CAl-cliLA=11oA-.-'-'S ( .. By signature, I state and agree, thai I have carefully examined tllO completed application and do hereby certify that all Information hereon Is true and correct, and I further certify that any and all work performed shall be done In accordance. with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work descrIbed herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safely DivisIon. I further certify that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required Inspections are requested at the proper time, that each address Is readable from th.~ street, that the permit card Is located at the front of the property, and the approved set of plans '-:."!II remain on the site at all times during construction. Signaturep~~ Date ~/~?' VALIDATION: 85CE) __.:;Lo.t'-O RECEIPT NUMBER -z:s;., . rJ (I. U .:...( cP. "7. '1~ DATE PAID "-" ~ ~ ---J . . . ~-I.~~_ :~'~~~:DR:~~X:~-~~ ~~'~:O-/ . . JOB NO. Cf-:;'Oi'T3 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) ~I NAME OR COMPANY: CA-PS-roAiE:.. I-bME3:S IAiC, OF (')ReG-ON LOCATION: LJt../-q'1;:; (?/A'Gf eF<:. S-r. I q, 0 '}... c> S i 1- - i-~ '5 q 00 . DEVELOPMENT TYPE: Lt?~ - f.ieN 5Fe.. BUILDING SIZE: :'.~' N. LOT SIZE ,. r. STORM DRAINAGE . .~., '. .. IMPERVIOUS SQ. FT. '21~ ; X $0.192 PER SQ. FT. SQ. Ft. G'-/IS7?) ........ --- 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) 1-~ X $39.78 PER PFU c: q,'-I- <(L/:) ----------- 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP I X (,I) c) '5 X $401. 05 ~ --- --- x X $401.05 X $401.05 ~ - x ~ SUBTOTAL (ADD ITEMS 1,2, & 3) S 1IL':b &73- 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 (( <;S(,~) --- -- TOTAL-CITY SDC $ i ~'2-? S,j 5. ~ANITARY SEWER-MWMC .., ~ '2-'- NO. OF PFU'S ~:.- x $13.62 PER PFU + $10 MWMC ADMIN. FEE $~'2'~ -- (Use PFU Total From Item 2 Above) ~~~ tj'Kip Burdick . SDC Coordinator l /-z&/q~ , $ 311.l;., TOTAL-MWMC SDC~1-~ - --- TOTAL SDC $ '2-11 51?;;.. MWMC CREDIT IF APPLICABLE (SEE REVERSE) ,. FIXTURE UNIT CALCULA TIO~ ABLE: Number of New Fixtures X Unittuivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT UNITS Bathtub..... ............................ ........... ............. ............. Drinking Fountain............... ......... ........................ ..... Floor Drain.................................................,.............. Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub /Clotheswasher. .......,....................,.,... Clotheswasher - 3 Or More..................;.................. Mobile Home Park Trap (1 Per Trailer).................. ','" :,. Receptor For Refrigeralor fWater Station/Etc........ . Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single Stall...................,.......,......,.,......,..... Shower, Gang................................................,.......,' Sink, Bar, CommerciaL......................,......,............. Urinal, StallfWall...............................,....................... Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private............................................... Miscellaneous: '2- 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 ;; 'z, ? TOTAL FIXTURE UNITS t..J '2..- il 2- '2, 12-- 2!:> Based on assessed value. If improvements occurred after annexation date in table, CREDIT CALCULATION TABLE: calculate credits separates. I Rate per $1,000 Assessed Value r I Rate per $1,000 Assessed Value Year Annexed Year Annexed 1979 or before 1980 198t 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 1985 1986 1987 1988 1989 1990 1991 $2.16 1.90 1.60 0.25 0.87 0.50 0.16 Credit for Parcel or Land Only If Applicable Z ' ~ :, X $ II, 0 ~ { I}:.. (Rate X Assessed Value) Improvement (ff after annexation date) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ -~{ ~ RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL...................... ..... .......... ............ ..... 0.4 CommerciaL.................................................... 0.9 Industrial..... .................... ............................ ...... 0.45 GovernmentaL...............,' ................................ 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT ,.